If you are one of the many men or women who develop heavy under eye fat or are even born with it, you probably look older than you really are.
In fact heavy fat under eyes, that looks like a pouch, can and does add years onto a persons age and if you feel you look older it makes you feel bad and it becomes a constant cycle that can even develop into depression.
Some people have this condition due to water retention in the under eye area, this can be treated with lymphatic drainage, but for others the cause could be genetics which has given them pads of fatty tissue just below their eyes.
The only recognized treatment that permanently removes fatty tissue or eye bags from under the eye is invasive cosmetic surgery, which is increasingly popular.
Transconjunctival Lower Eyelid Blepharoplasty
This procedure is performed through microscopic incisions, by removing the fat deposits from inside the lower lid. This can be done either with laser or any other fine cutting instrument.
- There is no visible scarring
- Less chance of the lower eyelid pulled away from the eye (lower eye ectropion)
- More precise fat sculpture
- Less bruising and swelling
The success of this procedure depends on the amount of fatty tissue to be removed. The larger the eye bag the more possibility there is of being left with an excess of skin which may form into wrinkles. Therefore this procedure is only normally performed on younger patients.
Transcutaneous Lower Eyelid Blepharoplasty
For older patients or those with more fat to be removed the procedure is performed under the lash line and then may be followed with a Chemical Peel or Laser Resurfacing to tighten up the area.
Recovery time varies from person to person depending on their ability to heal. There will be a certain amount of bruising and swelling but this should disappear over the course of a few days and the results are normally excellent. However, final results will not be experienced until approximately 6 months after the procedure.
As in all invasive surgery there are some risks.
- Infection – unlikely to be serious due to the sterile conditions of surgery.
- Continued bleeding – may necessitate reopening the wound and cauterizing the offending vessel.
- The wound may open slightly – not a great problem as the wound can either be taped or receive more sutures
- White cysts may form on the scar line – can easily be removed.
- Too much skin removed – dependent on the severity of removal further surgery may be required
- Too little skin removed – unsatisfactory result resulting in further surgery
- Too much fat removed – may leave a hollowed under eye look. This can happen gradually over years after surgery.
- Too little fat removed – may require further surgery.
- Excessive external scarring – this applies to those having Transcutaneous Lower Eyelid Blepharoplasty and can be due to a poor healing process on those with sensitive or damaged skin.
- Excessive internal scarring – this applies to Transconjunctival Lower Eyelid Blepharoplasty and can result in shrinkage of the internal lower lid resulting in distortion. Further surgery may help.
Therefore it is vitally important to do your homework when looking for a reliable cosmetic surgeon as the first thing to establish is whether your under eye bags are due to water retention or fatty tissue.
The procedures can vary from surgeon to surgeon and whilst it may be something you have decided to do and want it done now, you will get better results if you do thorough research.